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Search › Arizona › Psychiatric Residential Treatment Facility

Dominique Gist

NPI 1629674742 · on the registry since 2020 · sole proprietor

Practice

Address
8674 S 165th Ave
Goodyear, AZ 85338
Phone
(313) 434-6821
Organisation at this address
Jca Afc Homes
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Psychiatric Residential Treatment Facility
323P00000X
Also registered as
Mental Illness Community Based Residential Treatment Facility
Community/Behavioral Health Agency
Substance Abuse Rehabilitation Facility
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Sex
Female
Record last updated
2020-12-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona